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>uy oo ro-tutu raye � u>_ a <br />RENEWAL Date: 05/24/2021 <br />INFORMATION FORM Policy: 9048876-2020 <br />This document does not provide insurance <br />If you have already submitted your updates online, please disregard. <br />RENEWAL INFORMATION <br />Policy Number: <br />9048876-2020 <br />Effective Date: <br />07/01 /2021 <br />Expiration Date: <br />07/01/2022 <br />Anniversary Rating Date: <br />LEGAL ENTITY INFORMATION <br />Legal Entity: <br />Nonprofit Corporation <br />Entity SubType: <br />Business Legal Name: <br />FRIENDS OF THE SANTA ANA ZOO <br />FEIN: <br />51-0160007 <br />Updates/Changes: <br />BUSINESS DBA <br />Primary DBA: <br />FRIENDS OF SANTA ANA ZOO <br />Additional DBAs: <br />Updates/Changes: <br />EMPLOYER MAILING ADDRESS <br />Mailing Name: <br />FRIENDS OF SANTA ANA ZOO <br />Mailing Address: <br />1801 E CHESTNUT AVE, SANTA ANA, CA 92701 <br />Updates/Changes: <br />CONTACT INFORMATION <br />Primary Contact Name: <br />VANESSA ANDERSON <br />Office Phone: <br />(714) 953-8555 <br />Mobile Phone: <br />E-mail Address: <br />vanderson@fosaz.org <br />Fax No: <br />(714) 550-0346 <br />Page 1 of 4 Policy Name: FRIENDS OF SANTA ANA Z <br />SP <br />�oRaN <br />3 <br />RiskMwaganadDMsiun <br />REVIEWED & APPROVED BY: <br />r <br />p +" R. Vj&wd <br />Risk Management Analyst <br />